Individual
KATHLEEN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, RD, CNSC
Contact information
Practice address
1635 BELT ST, BALTIMORE, MD 21230-4705
(610) 952-3965
Mailing address
1635 BELT ST, BALTIMORE, MD 21230-4705
(610) 952-3965
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3378
MD
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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